Abstract 108: Title: Interaction between Systolic Hypertension and Co-Morbidities in Patients with Documented Aortic Aneurysms
Background: We investigated relation between traditional risk factors and history of systolic hypertension in patients with documented aortic aneurysms.
Material and Methods: Study population consisted of 162 consecutive patients (37% females, 91% Caucasians) enrolled in the Aortic Aneurysm clinic at a single tertiary medical center. Medical records were reviewed retrospectively. ANOVA, chi-square, and logistic regression tests were employed. Study was approved by the institutional IRB.
Results: Majority of patients were Caucasian males with history of tobacco abuse, hypertension, and dyslipidemia (table). Coronary artery disease, diabetes, and chronic kidney disease were infrequent in the studied cohort. Age was strongly associated with increased prevalence of systolic hypertension history (HR 1.473, 95% CI 1.123-1.932 per decade, p=0.005). On the contrary, other traditional risk factors of hypertension like male gender, diabetes, dyslipidemia, chronic kidney disease, and smoking were not associated with increased prevalence of systolic hypertension by history.
Conclusions: In patients with documented aortic aneurysms traditional risk factors of cerebro-vascular disease, with exception for age, are not associated with hypertension history. Therefore, in a patient with hypertension history in the absence of traditional risk factors high index of suspicion for an aortic enlargement is warranted.
- © 2012 by American Heart Association, Inc.